Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,536.68 / $3,089.00 / $6,133.30	Facility		$1,536.68	$3,089.00	$6,133.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.59 / $808.78 / $1,698.43	Professional		$509.59	$808.78	$1,698.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.42 / $1,420.88 / $2,142.53	Professional		$1,092.42	$1,420.88	$2,142.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $450.82 / $1,029.89 / $1,806.46	Professional		$450.82	$1,029.89	$1,806.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,017.45 / $1,710.48 / $7,273.98	Facility		$1,017.45	$1,710.48	$7,273.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $857.00 / $1,583.38 / $5,714.48	Professional		$857.00	$1,583.38	$5,714.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,092.42 / $1,618.63 / $2,571.84	Facility		$1,092.42	$1,618.63	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $961.39 / $1,340.30 / $1,998.48	Professional		$961.39	$1,340.30	$1,998.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,332.30 / $2,001.80	Professional		$5.00	$1,332.30	$2,001.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,988.00 / $8,342.00	Facility		$3,711.00	$5,988.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.59 / $1,364.24 / $2,155.82	Professional		$761.59	$1,364.24	$2,155.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $946.30 / $1,113.30 / $1,649.50	Professional		$946.30	$1,113.30	$1,649.50